PROVIDER/INDEPENDENT AGENT AGREEMENT GREATER MIAMI CRUISE INTERNATIONAL APPLICATION FOR INDEPENDENT CONTRACTOR: Date: Personal Information: Name (Last name first): ________________________ ___ Social Security Number: _________/_ ___/___ ___ Present Address (City State Zip Code) _____________________________________________________________ Phone Number (include Area Code) Close Relative Phone Number List past experience in Travel (include studies):: 01-_____________________________________________________ 02-_____________________________________________________ 03-_____________________________________________________ Former Employment 01-_____________________________________________________ 02-_____________________________________________________ References known for at least 2 years Name, Address, Business Phone 01-_____________________________________________________ 02-_____________________________________________________   A COPY OF DRIVERS  LICENCE  AND SOCIAL SECURITY ATTACHED BELOW Drivers LICENCE Social Security  Copyright © 2000 ACE Travel Concepts 2530 SW 87th Ave Suite D Miami, FL 33165 Call for information: 305-551-8655 Email: info@acetravelconcepts.com | Return to Previous Page |